Inmates who reside in the Cuyahoga County Jail are forced to live in unacceptable conditions in an inhumane environment where basic civil liberties are withheld, sometimes as a form of punishment by staff, according to the U.S. Marshals facility review report.

The review was initiated at the behest of the county following six recent inmate deaths at the jail and multiple complaints from Cuyahoga County judges about the care inmates receive.